| Bluewater Foot And Ankle Specialists | |
|
1565 Sam Rittenberg Blvd Ste 104 Charleston SC 29407-4128 | |
| (854) 444-3129 | |
| Not Available |
| Full Name | Bluewater Foot And Ankle Specialists |
|---|---|
| Speciality | Podiatrist |
| Location | 1565 Sam Rittenberg Blvd Ste 104, Charleston, South Carolina |
| Authorized Official Name and Position | Brandon Bultsma (PRESIDENT) |
| Authorized Official Contact | 8544443129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluewater Foot And Ankle Specialists 1565 Sam Rittenberg Blvd Ste 100 Charleston SC 29407-4128 Ph: (843) 642-0074 | Bluewater Foot And Ankle Specialists 1565 Sam Rittenberg Blvd Ste 104 Charleston SC 29407-4128 Ph: (854) 444-3129 |
| NPI Number | 1396232880 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 0840548475 |
|---|---|
| Medicare Enrollment ID | O20180730002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396232880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Brandon Bultsma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033522784 PECOS PAC ID: 8123397734 Enrollment ID: I20170712003319 |
| Provider Name | Rishi R Mahajan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215465034 PECOS PAC ID: 6800167404 Enrollment ID: I20200728000433 |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Musc Physicians Pcp Peninsular Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Bee St, Suite 2100, Charleston, SC 29403 Phone: 843-792-6500 | |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Jeffrey Akhtar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Musc Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Sam Rittenburg Blvd, Charleston, SC 29425 Phone: 843-792-6200 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 |